Individual
COLLIN SAMUEL BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5817 ORCHID VALLEY RD, RALEIGH, NC 27613-8535
(434) 851-1503
Mailing address
5817 ORCHID VALLEY RD, RALEIGH, NC 27613-8535
(434) 851-1503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14485
NC
363A00000X
Physician Assistant
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Other
Enumeration date
06/06/2024
Last updated
09/24/2024
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